Fatty Acids Reverse the Supramolecular Chirality of Insulin Fibrils.

Long-chain unsaturated and polyunsaturated fatty acids (LCUFAs and LCPUFAs, respectively) are the essential components of phospholipids and sphingolipids, major building blocks of plasma and organelle membranes. These molecules are also involved in cell signaling and energy metabolism. Hence, both LCUFAs and LCPUFAs are broadly used as food supplements. However, the role of these fatty acids (FAs) in the self-assembly of misfolded proteins remains unclear. In this study, we investigated the effect of LCUFAs and LCPUFAs, as well as their saturated analogue, on insulin aggregation. Using vibrational circular dichroism, we found that all analyzed FAs reversed the supramolecular chirality of insulin fibrils. Molecular dynamics simulations showed that strong hydrophobic interactions were formed between the long aliphatic tails of FAs and hydrophobic amino acid residues of insulin. We infer that such insulin:FA complexes had different self-assembly mechanisms compared to that of insulin alone, which resulted in the observed reversal of the supramolecular chirality of the amyloid fibrils.

Lipids reverse supramolecular chirality and reduce toxicity of amyloid fibrils.

Abrupt aggregation of misfolded proteins is a hallmark of many medical pathologies including diabetes type 2, Alzheimer and Parkinson diseases. This results in the formation of amyloid fibrils, protein aggregates with distinct supramolecular chirality. A growing body of evidence suggests that lipids can alter rates of protein aggregation. In this study, we investigated whether lipids could alter the supramolecular chirality of amyloid fibrils. We found that if present at the stage of protein aggregation, phospho- and sphingolipids uniquely reversed supramolecular chirality of insulin and lysozyme fibrils. Furthermore, amyloid fibrils with opposite supramolecular chirality exerted distinctly different cell toxicity. Specifically, insulin and lysozyme fibrils with reversed supramolecular chirality were less toxic to cells than the aggregates with normal supramolecular chirality. These findings point on the important role of lipids and supramolecular chirality of amyloid fibrils in the onset and progression of amyloid diseases.

No evidence for room temperature ferromagnetism in the high temperature metal-organic material: Ni2TCNQ.

The search for ferromagnetic organic-based compounds has been a particular challenge to both chemists and physicists over the past few decades. The synthesis of the Ni2A, where A is an organic acceptor; tetracyanoethene (TCNE), 3-dichloro-5,6-dicyano-1,4-benzoquinone (DDQ) or 7,7,8,8-tetracyanoquinodimethane (TCNQ) (Jain et al 2007 Nature 445 291), was reported to be a great advancement with claims that the ferromagnetism persisted to well above room temperature. There were, however some substantial flaws in the methodology associated with the synthesis and physical characterisation. Our work solely studies the Ni2TCNQ compound where we find no evidence for the existence of inherent ferromagnetism within the material that was reported in the original paper. Instead, we find that the magnetism is due to superparamagnetic nickel nanoparticles embedded in an amorphous matrix. It is hoped that our work will also show that one must be careful when using Ni(COD)2 as a precursor in the synthesis of magnetic materials and that the usefulness of the reported synthetic method is extremely limited.

Exploring the awe-some: Mobile eye-tracking insights into awe in a science museum.

Informal learning environments provide the opportunity to study guests' experiences as they engage with exhibits specifically designed to invoke the emotional experience of awe. The current paper presents insight gained by using both traditional survey measures and innovative mobile eye-tracking technology to examine guests' experiences of awe in a science museum. We present results for guests' visual attention in two exhibit spaces, one chosen for its potential to evoke positive awe and one for negative awe, and examine associations between visual attention and survey responses with regard to different facets of awe. In this exploratory study, we find relationships between how guests attend to features within an exhibit space (e.g., signage) and their feelings of awe. We discuss implications of using both methods concurrently to shed new light on exhibit design, and more generally for working in transdisciplinary multimethod teams to move scientific knowledge and application forward.

Preliminary study of hearing protection and non-impact, blast-induced concussion in US military personnel.

PRIMARY OBJECTIVE: To examine the relationship between hearing protection and non-impact, blast-induced concussion in US military personnel. RESEARCH DESIGN: Retrospective cohort study. METHODS AND PROCEDURES: A total of 501 US service members from the Expeditionary Medical Encounter Database with hearing protection status reported either 'worn' or 'not worn' were eligible for analysis. Clinical records were reviewed for concussion diagnoses. Univariate and multiple logistic regressions were performed. MAIN OUTCOMES AND RESULTS: Overall, 270 (53.9%) service members sustained non-impact, blast-induced concussion and 231 (46.1%) sustained other blast injuries. Only 39.6% (107 of 270) of service members with concussion wore hearing protection at the point of injury compared with 61.0% (141 of 231) of those with other injuries (p < 0.001). After adjusting for covariates, service members wearing hearing protection had significantly lower odds of concussion compared with those not wearing hearing protection (odds ratio = 0.42, 95% confidence interval = 0.29-0.62). CONCLUSIONS: To our knowledge, this preliminary study is the first to demonstrate that hearing protection is associated with lower odds of non-impact, blast-induced concussion. The benefits of using hearing protection in terms of force readiness could be significant since many service members wounded in recent conflicts were diagnosed with concussion.

Prioritization of self-relevant perspectives in ageing.

This study investigated whether age-related sensitivity to self-relevance may benefit perspective taking, despite generally poorer perspective-taking capacity in older adults. In one perceptual matching task and two visual perspective-taking paradigms, we examined age differences in sensitivity to avatars representing self and other. In the matching task, older (60-83 years) and younger (18-20 years) adults were similarly biased toward the self- versus other-associated avatar. In the perspective-taking tasks, participants viewed these avatars within a virtual room. Task-relevant perspectives were either the same (i.e., congruent) or different (i.e., incongruent). In the 3PP-3PP task, both avatars were present, and participants adopted the perspective of one or the other. As in the matching task, young and old were similarly biased toward the self-associated avatar. However, age differences emerged in the 1PP-3PP task, which presented only one avatar per trial (varying between self and other), and participants responded based on their own first-person perspective or the avatar's. In summary, age modulated the ability to take perspectives primarily when participants' own first-person perspective was task relevant. Relative to younger adults, older adults prioritized the self (vs. other) avatar more during initial perspective computation and the first-person (vs. third-person) perspective more when selecting between incongruent perspectives.

Descriptive Characteristics and Amputation Rates With Use of Intrepid Dynamic Exoskeleton Orthosis.

Advancements in ankle-foot orthotic devices, such as the Intrepid Dynamic Exoskeletal Orthosis (IDEO), are designed to improve function and reduce pain of the injured lower extremity. There is a paucity of research detailing the demographics, injury patterns and amputation outcomes of patients who have been prescribed an IDEO. The purpose of this study was to describe the demographics, presenting diagnosis and patterns of amputation in patients prescribed an IDEO at the Center for the Intrepid (CFI). The study population was comprised of 624 service members who were treated at the CFI and prescribed an IDEO between 2009 and 2014. Data were extracted from the Expeditionary Medical Encounter Database, Defense Manpower Data Center, Military Health System Data Repository, and CFI patient records for demographic and injury information as well as an amputation outcome. The most common injury category that received an IDEO prescription was injuries at or surrounding the ankle joint (25.0%), followed by tibia injuries (17.5%) and nerve injuries below the knee (16.4%). Over 80% of the sample avoided amputation within a one year time period using this treatment modality. Future studies should longitudinally track IDEO users for a longer term to determine the long term viability of the device.

Treatment of Mental or Physical Health Problems in a Combat Zone: Comparisons of Postdeployment Mental Health and Early Separation From Service.

The primary aim of this study was to evaluate whether being treated for mental health or nonbattle physical injury during military combat deployment was associated with higher risk for postdeployment mental disorders and poorer career outcomes than seen in the general combat-deployed population. Service members treated in theater for mental health (n = 964) or noncombat injury (n = 853) were compared with randomly sampled personnel (n = 7,220) from the general deployed population on diagnosed mental disorders and early separation from service. Deployment, medical, and career information were obtained from Department of Defense archival databases. Over half of the personnel who received mental health treatment while deployed were diagnosed with 1 or more mental disorders postdeployment and/or were separated from service before completing their full-term enlistment. This was significantly higher than expected compared to the general deployed group, adjusting for demographic/military characteristics and mental health history (adjusted odds ratios [ORs] ranging 1.62 to 2.96). Frequencies of problems also were higher in the mental health-treated group than in the group treated for nonbattle physical injuries (significant adjusted ORs ranging 1.65 to 2.58). The documented higher risks for postdeployment adjustment problems suggested that especially those treated in theater by mental health providers might benefit from postdeployment risk-reduction programs.

Empathy and visual perspective-taking performance.

This study examined the extent to which visual perspective-taking performance is modulated by trait-level empathy. Participants completed a third-person visual perspective-taking task in which they judged the perspectives of two simultaneously presented avatars, designated "Self" and "Other." Depending on the trial, these avatars either held the same view (i.e., congruent) or a different view (i.e., incongruent). Analyses focused on the relationship between empathy and two perspective-taking phenomena: Selection between competing perspectives (i.e., perspective-congruence effects) and prioritization of the Self avatar's perspective. Empathy was related to improved overall performance on this task and a reduced cost of selecting between conflicting perspectives (i.e., smaller perspective-congruence effects). This effect was asymmetric, with empathy (i.e., empathic concern) levels predicting reduced interference from a conflicting perspective, especially when adopting the Self (vs. Other) avatar's perspective. Taken together, these results highlight the importance of the self-other distinction and mental flexibility components of empathy.

Relevance, valence, and the self-attention network.

Consistent with the authors' suggestions for research on extensions beyond the self (e.g., to joint attention and group-related processes), we offer the hypothesis that the Self-Attention Network may facilitate attention to any person who is construed as similar to the self along key dimensions. On the basis of existing literature and our recent findings, we focus on the dimensions of personal relevance and valence. Further research on how these dimensions mediate attention to self and others has the potential to unify separate lines of research on the neural representation of self and others (i.e., social cognition).

Rehabilitation and multiple limb amputations: A clinical report of patients injured in combat.

This clinical report describes the outpatient rehabilitation program for patients with multiple limb amputations enrolled in the Comprehensive Combat and Complex Casualty Care facility at the Naval Medical Center San Diego. Injury-specific data for 29 of these patients wounded by blast weaponry in Afghanistan in 2010 or 2011 were captured by the Expeditionary Medical Encounter Database at the Naval Health Research Center and were reviewed for this report. Their median Injury Severity Score was 27 (N = 29; range, 11-54). Patients averaged seven moderate to serious injuries (Abbreviated Injury Scale scores ≥2), including multiple injuries to lower limbs and injuries to the torso and/or upper limbs. All patients received care from numerous clinics, particularly physical therapy during the first 6 mo postinjury. Clinic use generally declined after the first 6 mo with the exception of prosthetic devices and repairs. The clinical team implemented the Mayo-Portland Adaptability Inventory, 4th Revision (MPAI-4) to assess functioning at outpatient program initiation and discharge (n = 23). At program discharge, most patients had improved scores for the MPAI-4 items assessing mobility, pain, and transportation, but not employment. Case reports described rehabilitation for two patients with triple amputations and illustrated multispecialty care and contrasting solutions for limb prostheses.

Is it always me first? Effects of self-tagging on third-person perspective-taking.

Self-relevant information is associated with facilitation of perceptual and memory processes. In 2 experiments, participants verified the number of dots within a virtual room that were visible to a given perspective, corresponding to participants' own first-person perspectives or the third-person perspectives for self- and other-associated avatars. Perspectives were either congruent or incongruent with respect to the number of dots visible to each. In Experiment 1, we examined perspective taking for self- and other-associated avatars relative to one another; both avatars appeared simultaneously in the virtual room, and participants made judgments based on the prompted avatar's perspective. In Experiment 2, we examined perspective taking for each avatar relative to the first-person perspective; only 1 avatar was visible in the virtual room (Self or Other, varying by trial), and participants made judgments based on their first-person view or the avatar's perspective. Experiment 2 also included a replication of the third-person paradigm used in Experiment 1. Results from Experiment 1 (replicated in Experiment 2) demonstrated an advantage for judgments of the Self (vs. Other) avatar's perspective; both avatars elicited reliable interference effects of similar magnitude. Results from Experiment 2 further demonstrated that participants prioritized the first-person (vs. third-person) perspective, and that the presence of the Self (vs. Other) avatar improved performance for the first- and third-person perspectives when those perspectives were congruent. Taken together, these findings suggest that self-relevant perspectives are prioritized when they are actively engaged and when they can be subsumed within the first-person view. Such prioritization appears to occur by strategic means.

Glasgow Coma Scale scores, early opioids, and 4-year psychological outcomes among combat amputees.

Morphine and fentanyl are frequently used for analgesia after trauma, but there is debate over the advantages and disadvantages of these opioids. Among combat amputees, intravenous (IV) morphine (vs IV fentanyl) after injury was associated with reduced likelihood of posttraumatic stress disorder (PTSD). The previous results were based on military health diagnoses over 2 yr postinjury. The present study followed psychological diagnoses of patients with amputation for 4 yr using military and Department of Veterans Affairs health data. In-theater combat casualty records (n = 145) documented Glasgow Coma Scale (GCS) scores and/or morphine, fentanyl, or no opioid treatment within hours of injury. We found that (1) GCS scores were not significantly associated with PTSD; (2) longitudinal modeling using four (yearly) time points showed significantly reduced odds of PTSD for patients treated with morphine (vs fentanyl) across years (adjusted odds ratio = 0.40; 95% confidence interval = 0.17­0.94); (3) reduced PTSD prevalence for morphine (vs IV fentanyl; morphine = 25%, fentanyl = 59%, p < 0.05) was significant, specifically among patients with traumatic brain injury during the first 2 yr postinjury; and (4) PTSD prevalence, but not other disorders (e.g., mood), increased between year 1 (PTSD = 18%) and years 2 through 4 postinjury (PTSD range = 30%­32%).

Glasgow Coma Scores, early opioids, and posttraumatic stress disorder among combat amputees.

A recent study found that combat amputees had a reduced prevalence of posttraumatic stress disorder (PTSD) compared with nonamputees with serious extremity injuries. We hypothesized that an extended period of impaired consciousness or early treatment with morphine could prevent consolidation of traumatic memory and the development of PTSD. To examine this hypothesis, we retrospectively reviewed 258 combat casualty records from the Iraq or Afghanistan conflicts from 2001-2008 in the Expeditionary Medical Encounter Database, including medications and Glasgow Coma Scale (GCS) scores recorded at in-theater facilities within hours of the index injury. All patients sustained amputations from injuries. Psychological diagnoses were extracted from medical records for 24 months postinjury. None of 20 patients (0%) with GCS scores of 12 or lower had PTSD compared to 20% of patients with GCS scores of 12 or greater who did have PTSD. For patients with traumatic brain injury, those treated with intravenous morphine within hours of injury had a significantly lower prevalence of PTSD (6.3%) and mood disorders (15.6%) compared to patients treated with fentanyl only (prevalence of PTSD = 41.2%, prevalence of mood disorder = 47.1%). GCS scores and morphine and fentanyl treatments were not significantly associated with adjustment, anxiety, or substance abuse disorders.

Ingroup categorization affects the structural encoding of other-race faces: evidence from the N170 event-related potential.

The current research examined the influence of ingroup/outgroup categorization on brain event-related potentials measured during perceptual processing of own- and other-race faces. White participants performed a sequential matching task with upright and inverted faces belonging either to their own race (White) or to another race (Black) and affiliated with either their own university or another university by a preceding visual prime. Results demonstrated that the right-lateralized N170 component evoked by test faces was modulated by race and by social category: the N170 to own-race faces showed a larger inversion effect (i.e., latency delay for inverted faces) when the faces were categorized as other-university rather than own-university members; the N170 to other-race faces showed no modulation of its inversion effect by university affiliation. These results suggest that neural correlates of structural face encoding (as evidenced by the N170 inversion effects) can be modulated by both visual (racial) and nonvisual (social) ingroup/outgroup status.

The face and person perception: insights from social cognition.

Social-cognitive investigations of face perception have tended to be motivated by different goals than cognitive and neuropsychological studies-namely, to understand the dynamics of social categorization rather than identity recognition-and the result has been a lack of cross-pollination of insights and ideas between the disciplines. We review the evidence from social cognition, with an eye to discussing how this work aligns with the Bruce and Young (1986) model of face recognition. Acknowledging the invaluable impact the model has exerted on our understanding of face recognition, we suggest that considering the bottom-up constraints of visual processing and the top-down influences of semantic knowledge will contribute to a more comprehensive understanding of face perception.

Repeated concussion among U.S. military personnel during Operation Iraqi Freedom.

Concussions are a predominant injury of the conflicts in Iraq and Afghanistan. The aims of this study were to describe repeated concussive events among U.S. military personnel injured in Operation Iraqi Freedom and examine subsequent healthcare utilization. We reviewed clinical records from the Expeditionary Medical Encounter Database to identify service members with repeat concussions. We abstracted demographic and injury-specific variables, calculated time between events, and identified healthcare utilization from electronic medical databases. Overall, 113 personnel experienced more than one concussion between 2004 and 2008. A majority of these incidents were blast related. The median time between events was 40 days, with 20% experiencing a second event within 2 weeks of the first and 87% within 3 months. Time between events was not associated with severity of the second event. Greater severity of the second concussive event was associated with higher postinjury utilization of mental health and neurology services. This study is one of the first to describe repeated concussions in a combat setting. We found that repeated concussions occur within a short interval among deployed personnel, although the effects of the first event are unclear. Further research is needed to define the effect of repeated concussions on the health of combat veterans.

Attentional prioritization of infant faces is limited to own-race infants.

BACKGROUND: Recent evidence indicates that infant faces capture attention automatically, presumably to elicit caregiving behavior from adults and leading to greater probability of progeny survival. Elsewhere, evidence demonstrates that people show deficiencies in the processing of other-race relative to own-race faces. We ask whether this other-race effect impacts on attentional attraction to infant faces. Using a dot-probe task to reveal the spatial allocation of attention, we investigate whether other-race infants capture attention. PRINCIPAL FINDINGS: South Asian and White participants (young adults aged 18-23 years) responded to a probe shape appearing in a location previously occupied by either an infant face or an adult face; across trials, the race (South Asian/White) of the faces was manipulated. Results indicated that participants were faster to respond to probes that appeared in the same location as infant faces than adult faces, but only on own-race trials. CONCLUSIONS/SIGNIFICANCE: Own-race infant faces attract attention, but other-race infant faces do not. Sensitivity to face-specific care-seeking cues in other-race kindenschema may be constrained by interracial contact and experience.

When Arnold is "the terminator", we no longer see him as a man: the temporal determinants of person perception.

The current research examined the intersection of social categorization and identity recognition to investigate whether and when one form of construal would dominate people's responses to social targets. Using an automatic priming paradigm and manipulating prime duration to examine how familiarity with social targets and the time course of processing moderate construal, we asked participants to judge the familiarity and sex of faces (Experiments 1 and 2, respectively). The results revealed that both unfamiliar and familiar faces were initially categorized by sex but that familiar faces were quickly (and automatically) reclassified in terms of identity. Implications for models of face processing and person perception are discussed.

Morphine use after combat injury in Iraq and post-traumatic stress disorder.

BACKGROUND: Post-traumatic stress disorder (PTSD) is a common adverse mental health outcome among seriously injured civilians and military personnel who are survivors of trauma. Pharmacotherapy in the aftermath of serious physical injury or exposure to traumatic events may be effective for the secondary prevention of PTSD. METHODS: We identified 696 injured U.S. military personnel without serious traumatic brain injury from the Navy-Marine Corps Combat Trauma Registry Expeditionary Medical Encounter Database. Complete data on medications administered were available for all personnel selected. The diagnosis of PTSD was obtained from the Career History Archival Medical and Personnel System and verified in a review of medical records. RESULTS: Among the 696 patients studied, 243 received a diagnosis of PTSD and 453 did not. The use of morphine during early resuscitation and trauma care was significantly associated with a lower risk of PTSD after injury. Among the patients in whom PTSD developed, 61% received morphine; among those in whom PTSD did not develop, 76% received morphine (odds ratio, 0.47; P<0.001). This association remained significant after adjustment for injury severity, age, mechanism of injury, status with respect to amputation, and selected injury-related clinical factors. CONCLUSIONS: Our findings suggest that the use of morphine during trauma care may reduce the risk of subsequent development of PTSD after serious injury.